READ ALONGSIDE THE SOURCE

Okaloosa County BOCC — April 5, 2016 — Tmberview Helicopter Lease Renewal — reading text

Part 1 of 2. These parts divide the reading text for browsing; they are not the source document's page numbers.

Tmberview Helicopter Lease Renewal — extracted reading text

Machine-extracted OCR text · Review label: Known limitations

Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.

CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Ngmber:g-—/q ’OLfOL{ "AP ’ Tracking Number:\gfig /‘(fl Contractor/Lessee NomeT yavi ' ¢S Grant Funded: YES___ NOX Purpose: Date/Term: | Ptk Lo— B[ Ve |7) . 1. [ GREATER THAN $50,000 Amount: 2. [] GREATER THAN $25,000 Depariment: Ady Pov4 3. [ $25,000 OR LESS ‘Dept. Monitor Name: g’(’?fi(&@/ M W\W Document has been reviewed and includes any attachments or exhibits. Purchasing Review Wre%/f\reqwem nts are met: , ' Date: ?/ ?/ / é Purchosmg Director or d/emgnee Risk Management Review Dee Op Approved as-written: ) W Date: 3“‘q ~HQ Risk'Mon\('Jger or designee Y . County Afforney Review Approved as written: Date: ‘County Attorney Following Okaloosa County approval: VContract & Grant Document has been received: Date: Contracts & Grants Manager Dave Miner From: Parsons, Kerry <KParsons@ngn-tally.com> Sent: Wednesday, March 09, 2016 2:06 PM To: Melissa Weisser Ce: Dave Miner; Zan Fedorak; Lynn Hoshihara; Greg Stewart Subject: RE: Timberview Helicopters Lease Renewal Hey Melissa: Please see section 1 of the lease, there is an automatic renewal clause for one year periods. | understand that the County prefers to have these renewal forms signed every year, but because of the way this lease is written, that is just a formality and the lease renews automatically on February 1% of every year unless the County terminates by giving fifteen (15) days’ notice in accordance with section 14 of the lease. Let me know if you have any other questions. Kerry From: Melissa Weisser [mailto:mweisser@co.okaloosa.fl.us] Sent: Wednesday, March 09, 2016 12:17 PM To: Lynn Hoshihara; Parsons, Kerry; Greg Stewart Cc: Dave Miner; Zan Fedorak Subject: Timberview Helicopters Lease Renewal Good morning! | received the attached document from Dave Miner (cc’d) at the Airport. Zan has trepidation in signing it because we didn’t receive it until 2/26/16, which was after the renewal period, which started 2/1/2016. Mr. Miner said he had trouble getting it back from Timberview Helicopters. Our guestion is, do they need to cease whatever activity they have on County property, or are we still under contract with them? Additionally, is Zan authorized to sign this or should we go another route? Thanks! Respectfully, Melissa Weisser Purchasing Specialist Okaloosa County Purchasing Department 5479A Old Bethel Road Crestview, Florida 32536 = (850) 689-5960 Fax: 850-689-5970 mweisser@co.okaloosa.fl.us Please note: Due to Florida’s very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public and media upon request. Therefore, this e-mail communication, including your email address, may be subject to public disclosure and public record retention requirements. Dave Miner From: Krystal King Sent: Thursday, March 24, 2016 4:16 PM To: Dave Miner Cc: Laura Porter Subject: Timberview Helicopter Lease - coordination sheet The insurance requirements section of the renewal lease is okay as written at this time. Please disregard the change | made on the original coordination sheet. Let me know if you need anything further. Sincerely Argetef ig {ikaloosa County Risk Management (830)689-a877 Fax (830)683-0873 Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records available to the public and media upon request. Therefore, this written email communication including your email address, may be subject to public disclosure. CONTRACT/LEASE RENEWAL FORM November 3, 2015 Timberview Helicopters, Inc. Attn: Justin Johnson 981 Hwy 98 East, Suite 3153 Destin, FL 32541 RE: Lease Renewal Dear Mr. Johnson: The Okaloosa County Board of County Commiissioners agrees to renew the subject contract/lease, #L14-0404-AP for an additional term. The contract renewal period will be Feb. 12016 to January 31, 2017 . The annual budgeted amount for this contract is $5% of Gross . All other terms and conditions of the original agreement shall remain in full force and effect through the durotion of this renewal. If you are in agreement, please sign below and return this form along with a current Cerlificate of insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE e . A Dept. DirectW Contractor: (M fer e /kfi 00/ : Signature: X Vf/ Date: AG-28~ 7 Approved By: Approved %fl’/ {as prescribed below on item 1) P Date: Approved By: Title: f ‘e j (as prescribed below on item 1) Date: Date: [2-5-2¢/4 County Department Instructions: 1) Obtain signatures from Depariment Director, authorized Company Representative and then Purchasing Director <$25K and less, County Administrator <$50K and less or Board >$50K, as necessary. If Board approval is required, the Chairman and County Administrator's signatures are required. Make sure the company provides a current Cetlificate of Insurance. (If appiicable). 2) Keep a copy of this form for your records. 3) Send original to Purchasing Services Coordinator. If you have any questions please contact the Purchasing Director at 850-689-5260, Fax: 850- 689-5998. CONTRACT/LEASE RENEWAL FORM November 3, 2015 Timberview Helicopters, Inc. Altn: Justin Johnson 081 Hwy 98 East, Suite 3153 Destin, FL 32541 RE: Lease Renewal Dear Mr. Johnson: The Okaloosa County Board of County Commissioners agrees to renew the subject contract/lecse, #114-0404-AP for an additional term. The contract renewal period wil be Feb. 1 2016 to January 31, 2017 . The annual budgeted amount for this contract is $5% of Gross . All other terms and conditions of the original agreement shall remain in full force and effect through the duration of this renewal. If you are in agreement, please sign below and return this form along with a cument Ceitificate of Insurance listing Okaloosa County as co-insured (if applicable). COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE Dept. Directar. Contractor; 7,’ mbes (', //c feal 16T Signature: L Q/Z,/—— Date: _#f9-/e” Approved By: Approved By: /77; (as prescribed below on item 1) /% Date: Approved By: Tifle: }p ves (as prescribed below on item 1) /'»20”2,0/(’ Date: Date: County Department Instructions: 1) Obtain signatures from Department Director, authorized Company Representative and then 2) 3) Purchasing Director <$25K and less, County Administrator <$50K and less or Board >$50K, as necessary. If Board approval is required, the Chairman and County Administrator's signatures are required. Make sure the company provides a current Cerlificate of Insurance. (if appiicable). Keep a copy of this form for your records. send original to Purchasing Services Coordinator. If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850- 689-5998. DATE (MMDLYYY'YY) e ACORD@ CERTIFICATE OF AIRCRAFT INSURANCE otosore THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. IF SUBRGGATION IS WAIVED, subject to the terms and conditlons of the policy, certaln policles may requira an endorsement, A statement on this certificate does not confer rights to the certiflcate holder In Hou of such endorsement(s). CONTACT PRODUCER NAME:; Alr Capital Insurance, LLC PHONE FAX PO Box 458 G, Mo, Exty: (A/C, No): Wichita, KS, 67201 £-MAIL ADDRESS: S PRODUGER CUSTOMER IDNo. INSH Timberview Hellcoplers, inG. INSURER{S} AFFORDING COYERAGE % NAIC No. INSURER A: U8, SPECIALTY INSURANCE COMPANY 100% 100 Country Club Drive INSURER 8: Destin, FL, 32541 INSURER C: INSURER D INSURER E: INSURER F: THIS IS TO CERTIFY THAT THE POLIGIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 7O WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXGLUSIONS AND CONDITIONS OF SUGH POLIGIES. LIMITS SHOWN MAY HAVE BEEN REDUGED BY PAID CLAIMS. POLICY INFORMATION CERTIFICATE NUMBER: REVISION NUMBER: POLICY TYPE LINE OF BUSINESS SUBCODE TNOUSTRIAL FEASURE & COVMERCIAL ARPLANE | 7 | FELICOPTER WIXED FLEET EXCESS TOOTA AD L s t X } SHARE ] NON-OWRED i 1| LiesTY HULL & UABILITY HULL OMLY L oy t AIRCRAFT INFORMATION | | ACORD 333, Alrcraft Schedule attached YEAR NAKE MODEL SERIAL NUMBER REGISTRATIONNUMBER 2004 ROBINSON R44 1 N73MT TERRITORY: AIRCRAFT COVERAGES NSURERIETTER POLIGY NUMBER EFFECTIVE DATE EXPIRATIONDATE | ADDITIONAL NEURED? (V7N SUBROGATION WAVEDT (77 ) RW00181830-02 Q10172016 o127 Y N COVERAGE | ORTIONS LiMIT APPLIES TG LiMiT APPLIESTO ) | AL RIGK GROUNDG ANDFLGHT —f§ 300,000 1,000 Ded. - Nat In mation ARCRAFTHULL "3 | ALL Risi GROUND ONLY AGREEDVALUE | 35 060 Ded, - In molion TABILITY & 1,600,000 EAGCC 5 EAPER ANRCRAFT LIGILITY | =] 100,000 EAPASS AGGR & | NCLUDING CREWY 5,000 | B > occ MEDICAL PAYMENTS 57 excLupin crew .| BAPER 6 20,000 EA COVERAGE CODE OESCRIPTION OPTIQNS LIMIT APPLIES TO LIMIT APPLIES TO DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 1 01, Additional Remarks Scheduls, if more space is required) Certificate Holder is Included as an Additional Insured. CERTIFICATE MOLDER CANCELLATION Okalcosa County SHQULD ANY OF THE ABOVE DEBGRIBED POLICIES BE CANCELLED BEFORI;:; ;Hfi 00 v EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACGORDANCE ‘13 es}];j,\'g:“;gfile ard MITH THE POLICY PROVISIONS, " [AUTHORIZED REPRESENTATIVE o - s gt © 2009 ACORD CORPORATION. All rights reserved. ACORD 21 (20098/12) The ACORD name and logo are reglstered marks of ACORD DATE (MMDD/YYYY) AC’QRD@ CERTIFICATE OF AIRCRAFT INSURANCE ovomnts THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPCN THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY QR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIGNAL INSURED, the policy({les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditfons of the policy, certain policles may require an endorsement, A statement on this certificate does not confer rights to the certificate hoider In lleu of such endorsement(s}. COMTACT PRODUCER NAME: Alr Capital Insurance, LL.C PHONE FAX PO Box 458 (NC, No, Bt (A/C, No): Wichita, KS, 67201 E-MAIL ADDRESS: PRODUCER CUSTOMERIDNo. INSURED INSURER(S] AFFORDING COVERAGE o NAIC No. Timberview Helicopters, Inc. RISI * > INSURER A: 1.8, SPECIALTY INSURANCE COMPANY 100% 100 Country Club Dive INSURER B: Destin, FL, 32541 INSURER C: INSURER D; INSURER E: INSURERF : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I1SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUGH POLIGIES. LIMITS SHOWN MAY HAVE BEEN REDUGED BY PAID CLAIMS. POLICY INFORMATION CERTIFICATE NUMBER: REVISION NUMBER: ROLICY TYPE LINE OF BUSINESS SUBCODE TNOUSTTIAL FEATRES COMMERCIAL FRPLANE | oy | FELICOPTER TIRED FLEET EXCESS GUOTA AD

Download this text file with its original spacing ↓